Your Registration

Online Registration is only for new customers; if you are an existing member please register through your member's portal.


Sclerotherapy for Physicians & Nurses	$1,099.00 Discount already applied!
May 07 2021 Orlando, FL Hilton Orlando Lake Buena Vista

Advanced Botox and Dermal Fillers (Level II)	$1,199.00 Discount already applied!
Aug 22 2021 Cincinnati, OH Cincinnati Marriott at RiverCenter

PDO Threads and PRP for Hair Restoration	$1,299.00 Discount already applied!
May 14 2021 Los Angeles, CA Marriott Anaheim

Complete Dermal Filler Training	$699.00 Discount already applied!
Jul 18 2021 AAOPM-Virtual-Training LiveStream / Online Training

PDO Thread Lift Training I & II	$699.00 Discount already applied!
Aug 14 2021 AAOPM-Virtual-Training LiveStream / Online Training

Botulinum Toxin Training	$1,299.00 Discount already applied!
Apr 30 2022 Phoenix / Scottsdale, AZ The AC Hotel Phoenix Downtown

Advanced Botox and Dermal Fillers (Level II)	$1,299.00 Discount already applied!
May 15 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Mesotherapy Training	$1,199.00 Discount already applied!
Jan 21 2022 Orlando, FL Signia by Hilton Orlando Bonnet Creek

Botulinum Toxin Training	$1,299.00 Discount already applied!
Jul 23 2022 Boston, MA AC Hotel Boston Downtown

IV Nutrition Therapies - Level I & II	$699.00 Discount already applied!
Oct 14 2022 AAOPM-Virtual-Training LiveStream / Online Training

Advanced Botox and Dermal Fillers (Level II)	$1,399.00 Discount already applied!
Oct 23 2022 Nashville, TN Loews Vanderbilt Hotel

Medical Hair Loss Therapy Training	$1,199.00 Discount already applied!
Jun 17 2022 Salt Lake City, UT Salt Lake Marriott Downtown at City Creek

Sub-Total: $13,388.00
(-) Discount: $200.00
empty cart Registration: $13,188.00 Credit Card Convenience Fee: $395.64 Total Amount Due: $13,583.64

1 - Customer Information

First Name:

Last Name:

Medical Title:

Email Address:

Telephone:

Are you a Practice Owner?:

State License #:

Name of Account Rep who guided you, if any:

2 - Payment Information

eCheck Payment

Account Type:

Bank (Institution) Name:

Routing Number:

Account Number:

Name on Account:

Amount to be Charged:

Date:

Email for Confirmation:

I (we) understand that this authorization will remain in full force and effect until I (we) notify AAOPM, INC. in writing at the following:

AAOPM, Inc.
2720 East Oakland Park Blvd, #102
Fort Lauderdale, FL 33306
(954) 525-4273
(954) 358-2860 (F)

That I (we) wish to revoke this authorization.

Name(s):

Date:

eSignature: (Please type your full name)

Credit Card Payment
(3% Convenience fee ($395.64))

Card Type:

Credit Card Number:

Expiration Date:

CVV:

3 - Billing Information

Address:

Address 2:

City:

Country:

State:

Zipcode:

I acknowledge that I have read and agree with the AAOPM terms of service, privacy policy, and cookie policy. California courses attendees: In order to inject during hands-on sessions, you need to be licensed to inject in California.

Amount to be charged: $13,583.64